Birdham After School Football

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The Birdham ASC will run on Wednesdays starting from May 1st 2019 from 3:15-4:10. Running for 10 sessions during the summer term on these dates: 1/5, 8/5, 15/5, 22/5, 5/6, 12/6, 19/6, 26/6, 3/7, 10/7. Total cost for all dates is £40.00 payable in BACS or Cash/Cheque. To register your child on the ASC please fill out form below

Child Name *

Child School Year *

Parent/Guardian Name *

Parent/Guardian Contact Number *

Parent/Guardian Email *

Emergency Contact *

Emergency Contact Number *

Any Allergies

Any Other Information

Payment: Cost £40 for 10 Weeks

BACS:
Sussex Soccer Academy
Lloyds
Account: 28320268
Sort: 30-98-62

Please Reference: Birdham & your childs name Or Cash/Cheque to Front Office in marked envelope

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